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Spine Tethering For Curvature, Longer Run

Hawaii rates for HCPCS 0657T

An operation to straighten a curved spine by fixing anchors to the front of the spine bones and running a flexible cord between them. Tightening the cord pulls the curve straighter and lets it keep correcting while the spine is still growing, without locking the bones solid. This version covers a longer run of spine bones.

Rates data updated July 2026.

How much does Spine Tethering For Curvature, Longer Run cost?

$2,570

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $2,188 to $3,548.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,818 to $6,918Professionalmedian $2,570 · 10th to 90th $1,380 to $3,981
$2K$5Kfacility $6,918professional $2,570

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,918.31
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$2,570.40
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$3,715.35

Where Hawaii sits

The same service costs 5.0 times more in California than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 20th of 51

$2,570

CA $10,233AL $2,042

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.